First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

What is the best way to contact you (check all that apply)?

What is the best time to contact you (check all that apply)?

Is the cat's rabies vaccination current? (Note: The cat/kitten must have a current rabies vaccination. If you do not have a current rabies, please let us know and we will work with you to get it.)

What was the cat/kitten's original name when adopted (if remembered)? Please provide MICROCHIP number if applicable:

What is the cat/kitten's current name?*

What is the current age of the cat/kitten (exactly or best guess)?

What location did you originally adopt the FURR cat/kitten from?

What is the month and/or year you originally adopted the cat/kitten from us?

What is the name of the person who did the adoption (if remembered)?

What is the reason you are returning the cat/kitten? (Note: There is NO reason we will not take the cat/kitten back. We just need to know of any issues we will need to address once the cat is back in our care.)*

Please feel free to add any additional information regarding the cat/kitten or your circumstances that you feel is relevant.

FURR Contact Information, call if any questions please. Phone: (610) 881-6700